NCC216135_NOI 72278 Payment Verification_20211104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/2/2021 9:52:50 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/3/2021 10:24:27 AM (Review - Construction NOI 72278)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/2/2021 9:53 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 4, 2021 5:00
PM. The priority is: High 11/2/2021 9:53 PM
Submit by Evans, Shaundra M 11/4/2021 8:13:16 AM (Payment Verification for NCC216135)
F Jonathan Powers
• Evans, Shaundra M assigned the task to Evans, Shaundra M 11/4/2021 8:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 15, 2021 5:00 PM.
The priority is: High 11/3/2021 10:24 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Loflin Gold Mine Test Site Phase 2
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2021-6135
Certificate of NCC216135
Coverage (COC) No.*
Invoice Date 11/3/2021
Initial Invoice No. NCC216135-2021
Initial Fee $ 100.00
Invoice Due Date 12/3/2021
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received* Payment Received.
Payment NOT RECEIVED.
Payment Status PAID
Date Payment 11/4/2021
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 600979859
Transaction Number*
NOI Tracking No. 72278
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RANDO-2021-1-oflin Gold Mine Test Site Phase 2